CENTRAL MINNESOTA PEDIATRIC DENTISTS PA


Address: 507 N Nokomis St Ste C, Alexandria, MN 56308-2353
Phone: 3202530272

CENTRAL MINNESOTA PEDIATRIC DENTISTS PA (NPI# 1396186813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396186813
Entity Type Organization
Organization Name CENTRAL MINNESOTA PEDIATRIC DENTISTS PA
Practice Address 507 N Nokomis St Ste C
Alexandria
MN 56308-2353
Mailing Address 1900 Centracare Cir Ste 350
Saint Cloud
MN 56303-5000
Practice Telephone 3202530272
Practice Fax Number 3202512661
Mailing Telephone 3202530272
Mailing Fax Number 3202512661
Enumeration Date 2013-07-12
Last Update Date 2013-07-12
Authorized Official Name DR. MICHAEL W STEIL (PARTNER/OWNER)
Authorized Official Telephone 3202530272
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
D7765 MN Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
D11344 MN Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
D11073 MN Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265873707 Central Minnesota Pediatric Dentists Pa Dentist 570 Humboldt Dr Ste 102, Big Lake, MN 55309-4844 2013-07-12
1891136321 Central Minnesota Pediatric Dentists Pa Dentist 1100 19th Ave Sw, Willmar, MN 56201-5288 2013-07-12

Office Location

Street Address 507 N NOKOMIS ST STE C
City ALEXANDRIA
State MN
Zip Code 56308-2353

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104836 Center for Pain Management Ambulatory Surgery, Ltd Pain Medicine 804 23rd Street South, Sartell, MN 56308 2020-08-13
1548815590 Ritajo Ellenberger Licensed Practical Nurse 220 Oak Street North, Alexandria, MN 56308 2019-08-06
1346808714 Vance Thompson Vision Surgery Center Alexandria, Prof LLC Clinic/Center 2600 Jefferson St, Alexandria, MN 56308 2019-05-31
1811452048 Little Falls Eye Care Center Pa Optometrist 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 2019-02-01
1184167199 Jennifer Lynn Craig Technician 2307 East Golf Course Rd, Alexandria, MN 56308 2016-11-22
1548712219 Shelby Elisha Johnsrud Chiropractor 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 2016-10-28
1811347867 Dustin Matthew Ditch Dentist 510 22nd Ave E Ste 702, Alexandria, MN 56308 2016-06-20
1639538051 West Central Chiropractic & Wellness, LLC Chiropractor 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 2016-02-12
1659736221 Amanda Jean Dahlseng Registered Nurse 809 Elm Street, Suite 1200, Alexandria, MN 56308 2015-12-23
1518358886 Benjamin G Wenzel Marriage & Family Therapist 512 30th Ave S, Ste 100, Alexandria, MN 56308 2015-02-09
Find all providers in zip 56308

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609353499 Prachi Chandalia Dentist 609 E Monroe Ave, Alexandria, VA 22301-3020 2018-07-24
1609291533 Parker-gray Pediatric Dental Care, PC Dentist 224 N Fayette St, Alexandria, VA 22314-2433 2014-03-01
1356696850 Kingstowne Pediatric Dentistry, Pllc Dentist 7025d Manchester Blvd, Alexandria, VA 22310-3227 2012-07-20
1558639906 Pediatric and Adolescent Dentistry PC Dentist 4605d Pinecrest Office Park Dr, Alexandria, VA 22312-1442 2011-12-13
1598078776 Rory Nicholas Silvestri Smith Dentist 50 S Pickett St Ste 120, Alexandria, VA 22304-7206 2010-07-16
1689810426 Kid's Dental Zone Alexandria LLC Dentist 616b Macarthur Dr, Alexandria, LA 71303-3111 2008-12-29
1376635862 Audie Mixon Bankston Jr. Dentist 4017 Parliament Dr, Alexandria, LA 71303-3018 2006-09-29
1497736185 Gerald Irwin Frank Dentist 5787 Winston Ct, Alexandria, VA 22311-5824 2005-11-09
1285033753 Bella Dental Pllc Dentist 5787 Winston Ct, Alexandria, VA 22311-5824 2014-08-20
1407098619 Alexandria Pediatric Dentistry - A Partnership Dentist 1400 Metro Dr, Ste A, Alexandria, LA 71301-3451 2009-04-02
Find all providers in ALEXANDRIA

Competitor

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City ALEXANDRIA
Zip Code 56308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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